Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.14 / $3,401.00 / $10,802.00	Facility		$893.14	$3,401.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.14 / $1,034.78 / $1,400.35	Professional		$893.14	$1,034.78	$1,400.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.48 / $552.48 / $1,365.29	Professional		$552.48	$552.48	$1,365.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $3,079.63 / $3,666.22	Facility		$432.00	$3,079.63	$3,666.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.41 / $1,366.34 / $2,157.29	Professional		$870.41	$1,366.34	$2,157.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $486.65 / $985.36 / $1,170.46	Professional		$486.65	$985.36	$1,170.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $848.69 / $1,404.14	Professional		$105.37	$848.69	$1,404.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.34 / $1,116.20 / $2,009.16	Professional		$781.34	$1,116.20	$2,009.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.17 / $811.17 / $992.66	Professional		$811.17	$811.17	$992.66